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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Increase`dosage Of Thyronorm If Having Elevated TSH Levels During Pregnancy?

sir i am at my 4 weeks of gestation and detected tsh 6.73 while free t4 normal at 1.19, i was previously detected with eleveted tsh of 7.25 last december an continuing thyronorm 25 mcg daily. now my question is am i need to increase my daily dose and is there any risk involved for my baby
Regards
Mon, 13 Oct 2014
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Endocrinologist,  's  Response
Good day,
Noted your concern.
Yes, please increase the dose of Thyronorm to 75 mcg /day and recheck Free T4 and TSH after 6 weeks. You should aim for a TSH of less than 2.5 during first three months and a TSH level of less than 3 in next 6 months of pregnancy.
The baby's brain and other body development need good amount of thyroid hormones and untreated hypothyroidism can cause problems to baby. This is rare though. You are still in early pregnancy and do not worry. Increasing the tablets will not do any harm to the baby. It is good for the baby and safe.
Regards
Binu
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Should I Increase`dosage Of Thyronorm If Having Elevated TSH Levels During Pregnancy?

Good day, Noted your concern. Yes, please increase the dose of Thyronorm to 75 mcg /day and recheck Free T4 and TSH after 6 weeks. You should aim for a TSH of less than 2.5 during first three months and a TSH level of less than 3 in next 6 months of pregnancy. The baby s brain and other body development need good amount of thyroid hormones and untreated hypothyroidism can cause problems to baby. This is rare though. You are still in early pregnancy and do not worry. Increasing the tablets will not do any harm to the baby. It is good for the baby and safe. Regards Binu